Total decisions
6
This month
High urgency
2
Need attention this week
Medium urgency
3
In motion
Low urgency
1
Tracking
Decision log
SAMHSA Block Grant Q1 narrative report due May 8
Required quarterly programmatic narrative for the SAMHSA Community Mental Health Block Grant ($1.09M/yr). Template requires narratives on three workforce outcomes, two equity indicators, and beneficiary demographics. Last year’s submission triggered two follow-up questions from the program officer; current draft has not addressed those.
Recommendation
Allocate two clinician hours for narrative review; reference the prior follow-up questions directly in the workforce-outcomes section.
Laboratory testing vendor contract renewal
Current vendor provides urine drug screening for the MAT program at $28 per screen, 2,400 screens annually. Vendor notified 90-day renewal window; renewal rate proposed at $34/screen (+21%). Regional competitor quote available at $29/screen with 60-day transition runway. Margin impact on MAT program meaningful.
Recommendation
Negotiate current vendor to $30.50/screen or transition to competitor; projected annual savings $8,400–$12,000.
Recovery program care coordination budget escalation
Recovery and Community Integration caseload has grown 22% over prior year. Current peer support specialist ratio (4 staff to 215 active clients) exceeds recommended 1:40 ratio. Request from program director to add 1 FTE peer recovery specialist ($52K loaded cost) for FY2026.
Recommendation
Surface the request at the May board meeting with a funding path from the program-specific foundation grant renewal ($180K pending).
Executive Director 5-day planned leave, May 20–24
Dr. Okafor has scheduled continuing-education leave at a regional behavioral-health conference. Conflicts with the SAMHSA block grant submission period (due May 8, with potential follow-up questions in the 72-hour window after). Coverage plan needed.
Recommendation
Delegate SAMHSA follow-up response authority to CCO in writing; designate Director of Compliance as escalation contact.
May 14 board meeting — Q1 financials and strategic review
Quarterly financials, program outcome dashboard, and three strategic items scheduled for the May 14 board meeting. Chair has requested written materials 7 days in advance. Current draft deck addresses financials but not the strategic items (Recovery program expansion, school-based waitlist, workforce training fee revenue).
Recommendation
Surface the three strategic items as a single "Growth Levers" page in the board deck; frame each with the relevant financial or operational data already in the financials section.
Ryan White Part C subrecipient compliance report due June 30
Verdant operates as a Part C subrecipient ($420K subgrant) supporting HIV Care Continuum + PrEP Navigation. Mid-year compliance package due to the primary recipient includes: viral-suppression rates, retention-in-care percentages, payer-of-last-resort attestation, and the sub-recipient pass-through to Forge Hollow Outreach ($44K). Last cycle the primary recipient flagged a gap between case-management notes and the reported retention number; the gap was reconciled but the corrective action plan has not yet been documented in this cycle’s package.
Recommendation
Lock the retention-in-care number against case-management notes before draft submission; reference the prior corrective action plan in the narrative; surface the Forge Hollow pass-through in the sub-recipient attachment.